STRATOS dr : La tecnología 2D-Fan Beam

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1 STRATOS dr : La tecnología 2D-Fan Beam Stratos dr combina la rapidez en la medida de la densidad ósea con una ejecución precisa, haciendola accesible a todos los especialistas. Capacidad de diagnóstico optimizada Adquisición rápida con imagen de alta resolución Disfrute de un diagnóstico clínico eficiente y confortable, para el utilizador y para el paciente. Stratos dr

2 STRATOS dr Stratos dr es una solución completa, concebido para responder a las exigencias de los especialistas: rapidez, precisión (Variabilidad<1%), y una excelente calidad de imagen. Tecnología y Performances Tecnología 2D-Fan Beam : Un detector de estado sólido formado por 4 filas de 64 elementos (En total 256 pixels) ofreciendo la mejor calidad de imagen del mercado. Tiempo de exploración de 30 segundos. La tecnología de detección y el eficiente software de cáculo responden perfectamente a las exigencias de precisión, rapidez y calidad de imagen de los especialistas en densitometría ósea. Las aplicaciones y las opciones : Un diagnóstico fiable y completo AMás allá de los exámenes rutinarios (Cadera, columna vertebral, antebrazo), Stratos dr ofrece una amplia gama de aplicaciones : Cuerpo entero, ortopedia, análisis pediátrico, determinación de la DMO en proyección lateral, DVA (Digital Lateral Vertebral Assessment), para el análisis de distorsiones, FRAX, para la determinación del riesgo de fractura y HSA, o análisis estructural de la cadera. Un software de interface con el operador muy elaborado Multi-informe DMS reserves the right to modify any specification without prior notice. Photos are not contractually bindind. All rights are reserved. b-lizzie.com DMS ha perfeccionado y pulido su software gracias a la experiencia adquirida durante más de una década en el dominio de la osteodensitometría. Siempre en estrecha colaboración con los utilizadores, DMS se ha beneficiado de su experiencia para crear un interface intuitivo y ergonómico. Los útiles de diagnóstico aportan informaciones complementarias con la finalidad de mejorar el análisis densitométrico (FRAX, morfometría, análisis estructural...). DMS rue Charles Lindbergh Mauguio - FRANCE Tel: +33 (0) Fax: +33 (0)

3 PROGRESS THROUGH INNOVATION

4 Dual Energy X-ray Absorptiometry (DEXA) 2D-Fan Beam with X and Y kinematics Acquisition chain parameters Generator X-ray continuous generator Manufacturer Cooling system High voltage Maximum tube current High frequency monoblock PSM Immersion in oil + cooling fans 90 kv 2.4 ma X-ray tube Type Localization Anode angle 12 Anode-cathode direction X-ray beam Focal point dimension Energy splitting Tungsten fixed anode Under the patient Horizontal fan type 0.6 x 0.6 mm 43 kev and 70 kev (filtering: samarium 200 µm + aluminium 2mm) Tube Collimator Material Size Collimator-patient distance Tube-patient distance Shutter Detector Collimator Material Height Size Detector Quantity Type of detection Material Specification Detector pixel pitch Localization Scanner Scanning method Maximum scan area Scanning type Table type Acquisition method Type Method Acquisition windows Scan window size Multisite (L x W) Whole Body (L x W) Isotropic image without magnification Lead 18 mm x 2.5 mm 77 mm 270 mm 4 mm lead Brass 30 mm 72 mm x 8 mm 1 (2D array: 4 x 64 pixels) Direct detection CdTe (1 mm) Photon counting, energy sensitive 1.1 mm x 1.6 mm Above the patient Rectilinear scan 200 x 65 cm Motorized arm with X and Y kinematics Fixed for all exams including the Whole Body mode 2D Fan Beam technology Dual Energy X-ray Absorptiometry (DXA) Adjustable to patient s morphology Customizable scan area 200 x 65 cm maximum 2/8

5 Advanced Morphometric tools Fracture risk information using Hip Structural Analysis (HSA) Examination sites AP spine (L1-L4) Forearm: Ultradistal, Mid-radius and Distal (1/3) Hip: Total Hip, Femoral neck, trochanter, intertrochanter, Ward zone Total Hip: Combined examination of the left and right hip Diagnostic tools In-Row Scan: Combined examination of the lumbar spine and of the left or right hip Whole body: total and local (left arm, right arm, left ribs, right ribs, t spine, l spine, pelvis, left leg, right leg, head) Standard diagnostic tools Calculation of Bone Mineral Density (BMD), Bone Mineral Content (BMC), surface, T-score and Z-score Advanced Morphometric tools (surface, distance and angle): Measurements can be done on every type of examination Automated Hip Structural Analysis (HSA): Hip Axis Length (HAL), Femoral Neck Axis Length (FNAL), Intertrochanter to Femoral Head Center Distance (IH) and Femoral axis versus Neck axis Angle (FNA) Fracture risk information using Hip Structural Analysis (HSA) FRAX tool from WHO to evaluate the 10 years probability of osteoporotic fractures Fracture risk information Additional standard diagnostic tools Whole body examination: Total BMD, Total BMC, surface, local BMD, local BMC, Tscore, Zscore and body composition Digital Vertebral Assessment (DVA): Provides a low dose, lateral image of the spine (to view all the vertebrae of the spine). The deformation or compression is precisely diagnosed, measured and classified. This analysis can be either automatic using the Genant s semi-quantitative classification, or manual using the Genant s visual classification Lateral spine BMD: To measure the bone density of the vertebrae of the lumbar spine from a lateral angle and without spinal backbone Paediatrics: To measure the BMD (spine and whole body) and the whole body composition Orthopaedics: To measure the BMD around the prosthesis (ex: Gruen zone selection). Enables a smart implant management. Available for hand, forearm, elbow, shoulder, spine, hip, AP knee, lateral knee, feet. Automatic detection of ROI for hip, knee and lateral knee examinations 3/8

6 Analysis Manual and automatic analysis for all exams Parameters available on final medical report Multisite Bone Mineral Density (BMD) expressed in g/cm 2, stands for the mineral density of the bones Bone Mineral Content (BMC) expressed in g, stands for the mineral mass of the bones Area expressed in cm 2, 2D projection of the bone T-score = Difference between the patient s values and the mean value of a young population of healthy subjects of the same gender and from the same ethnic background as the patient, divided by the standard deviation of the young population of healthy subjects Z-score = Difference between the patient s value and the mean value of a population of healthy subjects of the same age, divided by the standard deviation of the healthy population Whole body Orthopaedic Paediatric Total Bone Mineral Density (BMDt) Local Bone Mineral Density (BMDl) Area Body Composition Fat mass Lean mass Bone mineral mass Total and local body composition Color mapping for visualizing the fat areas T-score Z-score Bone Mineral Density (BMD) Bone Mineral Content (BMC) Area Automatic ROI selection (ex: Gruen zone), for hip, knee and lateral knee Bone Mineral Density (BMD) Bone Mineral Content (BMC) Area Body composition Z-score Skeletal age comparison Reference curve Morphometry Displays the BMD according to the age for the examined region(s). It enables to supply T-score and Z-score values as diagnosis values Quantitative morphometry (areas, lengths, angles). Ex: Automatic Hip Structural Analysis (HSA) Specification of the clinical data Bone Mineral Density (BMD) ± 1.0% in vivo (± 0.5% in vitro) 4/8

7 Software New user-friendly interface Evolutionary software Software tools Patient follow-up graphs Advanced Morphometric tools (distance, angle and area) ex: hip length axis Calculation of standardized BMD (comparison to NHANES III normative data of the femur) Easy scan repositioning by software Customizable user interface (colours, trend, results, print-out, etc.) Multi-user (different profiles can be configured: operator, physician, etc.) Reference population (reference normality curve): Caucasian, Asian, NHANES III, African, Turkish, Hispanic, Japanese and Korean Personalized multiple reference populations (normality curves editor) Patient s data follow-up: Data base importation from another device + previous data input Customizable automatic/semi-automatic database archiving Multi-report for comparative purposes Customizable reports (header, footer, predefined forms, letters, etc.) Detailed colour print out of reports (bone + reference curve + analysis report + operator comments + patient and physician letters + follow-up), configurable by the physician reports sending Automatic and customizable letter (patient and physician) Image display tools: Contrast, brightness and zoom Density display in colour scale Multi-language software: Chinese simplified, Czech, German, English, Spanish, French, Italian, Polish and Turkish (other languages can be translate) Help menu DVO recommendations (Certified by DachVerband Osteologie) Multi report Optional software tools Telemaintenance software: network connection required Touch screen Storage CD, DVD or external hard drive Connectivity DICOM compatibility (Output HIS, RIS, PACS (options)) Push & Print (option): Storing, printing and transferring patient s data Worklist (option): To manage the patient list Workstation mode (option): Possibility to connect from multiple distant workstations and access to device data Multi-user mode (option): Login, logout and rights management Format used to export image data:.jpg or.pdf 5/8

8 Examination parameters Automatic and manual selection of the Region Of Interest (ROI) Low dose adapted to patient morphology Radiation doses Staff dose at 1m Dose to patient* (in standard mode) Surface entrance dose (in standard mode) Negligible Low dose adapted to patient morphology Hip: <0.5 µsv (0.05 mrem) Dual femur: <1 µsv (0.1 mrem) Spine: <2 µsv (0.2 mrem) Forearm: <0.01 µsv (0.001 mrem) Hip: <15 µgy Spine: <25 µgy Whole body: <0.4 µgy *Using ICRP60 weighting factors Examination time and pixel size Hip Pixel size Scan time Fast 1 mm 15 s Normal 1 mm 25 s Precision 0.75 mm 45 s DVA Pixel size Scan time Fast 1 mm 45 s Normal 1 mm 95 s Precision 0.75 mm 170 s AP Spine Pixel size Scan time Fast 1 mm 15 s Normal 1 mm 30 s Precision 0.75 mm 60 s Forearm Pixel size Scan time Fast 0.75 mm 10 s Normal 0.75 mm 18 s Precision 0.75 mm 30 s Lateral Spine Pixel size Scan time Fast 1 mm 15 s Normal 1 mm 30 s Precision 0.75 mm 60 s Whole body Pixel size Scan time* Fast 3 mm 3-5 min Normal 2 mm 4-5 min Accuracy 1 mm 5-6 min *depending on patient s height Body composition: achieved at the same time of the Whole body exam Total hip: 50 s In Row Scan: 55 s Patient positioning Laser light Easy scan repositioning through the software Method of examination Pre-regulated exam modes: Exam parameters adjusted automatically based on patient s morphology Personalized options: scan speed, scan area and resolution (up to 0.50 mm) Automatic and manual selection of the Region Of Interest (ROI) = Intelligent Scan Acquisition IntelliScan: Smart reduction of the scan window and of the examination time Specifications of the clinical parameters Age grouping Weight years old (4-18 years old in paediatric mode) < 202 kg (445 lbs) Calibration and quality control Quality control using external phantom Quality control trend plotting integrated to the software Control by internal reference between each scan 6/8

9 Computer parameters Minimal computer configuration Operating system Processor RAM Hard disk CD Rom or DVD drive Archiving Monitor Printer Connectivity Windows XP, Vista or Seven Intel Pentium IV or core duo 1GHz 1 GB 60 GB minimum For updating software CD, DVD burner or external hard drive 15 or 17 SVGA (or larger) Color - Model: Hewlett Packard 690 Epson Stylus Any other printer compatible with Windows XP or Vista 2 LAN port for communication and DICOM (LAN for DICOM can be supplied by USB-to-LAN converter) Environmental data and electrical specifications Environmental data Operating temperature Operating humidity Pressure Storage temperature Storage humidity Radioprotection Electrical specifications Voltage-Current Frequency Power consumption 20 to 28 C (68 to 82.4 F) 20% - 80% (without condensation) Bar 10 to 40 C (50 to 104 F) 20% - 80% (without condensation) No external shielding required 110 VAC - 10 A VAC - 5 A 50/60 Hz 560 W 7/8

10 Physical description Dimensions and weight Dimensions L 240 x W 125 x H 130 cm (L 94 x W 49 x H 57 ) Examination table L 240 x W 110 cm (L 94 x W 43 ) Mattress L 208 x W 72.5 cm (L 82 x W 28 ) Patient table lowest height 60 cm (24 ) Weight Physical characteristics 250 kg (521 lbs) Room layout 8/8

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